THIS IS NOT AN APPLICATION FORM

To help you prepare for completing your bid we've provided this document, which is a list of the questions you’ll be asked. This is a template for you to use to draft long answers and to refer to when researching the information you need.

All information will need to be entered into the online form to complete your application.

Communities Fund 2018-19: Reference Template

------Screen 1: Introduction------

Which funding scheme are you applying for?Engagement / Resilience / Collaboration

Please tell us the name of your organisation:

------Screen 2: Organisation & project ------

Has your organisation previously received a discretionary grant from the council?

Are you applying for core running costs, project funding, or both?

------Screen 3: Contacting you ------

What is the name of the project you need this funding for?

Main contact's name:

Main contact's email address:

Main contact's phone number:

Second contact's name:

Second contact's email address:

Second contact's phone number:

------Screen 4: Contacting your organisation ------

Email address:

Mobile phone number:

Telephone number:

------Screen 5: Organisation address ------

Does your organisation have a dedicated address where it can be contacted?

Your contact address:

Postcode or building & street:

Choose your address:

------Screen 6: Eligibility ------

What type of organisation are you?

Informal group or voluntary association / Registered charity / Company limited by guarantee / Other

If you have chosen other, please give a brief description of your organisation :

Which of these three outcomes will you demonstrate with this funding?

Improving Wellbeing / Building Cohesion / Promoting Fairness

------Screen 7: What your organisation does ------

In which areas of the city does your organisation work?

Does your organisation work in any specific wards or areas?

Does your work include services to Brighton & Hove City Council tenants or leaseholders, or take place on council estates?

------Screen 8: Staff and volunteers ------

How many committee members are involved in running the organisation?

How many other volunteers are involved in running the organisation?

Do you have paid staff?

------Screen 9: Project details – what you would do ------

What is your organisation set up to do? In your own words, please tell us the purpose of your organisation and what you want the funding for:

How does your organisation link with others in the city providing similar services?

How many people will benefit from your work and activities?

How have you identified the need for your work?

------Screen 10: Project details – measuring success ------

How will you know how successful your organisation and activities have been?

Does your organisation have, or are you working towards, a quality system or standard?

Name and level (if applicable):

What is the estimated date of completion or review of this system standard?

------Screen 11: Equal Opportunities ------

How does your group ensure equal opportunities in delivering its activities?

Does your organisation have an Equal Opportunities policy?

------Screen 12: Bank details ------

Does your organisation have a bank account?

Name of Account:

Sort code:

Account number:

How do you safeguard or manage your money?

------Screen 13: Last year’s funding ------

Was your organisation operating in 2017 - 2018?

------Screen 14: This year’s funding ------

How much funding are you applying for?

What is the projected income for your organisation 2018 - 2019?

------Screen 15: Budget ------

Brighton & Hove City Council community funding you have applied for:

Other funding or grants that have been confirmed:

Other funding or grants that have not yet been confirmed:

From sales of goods or services:

Subscriptions or membership fees:

Are you expecting other types of income?

Your total anticipated income for the period 1 April 2018 to 31 March 2019:

Salaries, wages, and staff recruitment:

Volunteer costs, such as expenses or training:

Venue costs - rent, heating, lighting etc:

General running costs - post, phones, insurance etc:

Are you expecting any other expenditure?

Your total anticipated expenditure for the period 1 April 2017 to 31 March 2018:

Your total anticipated surplus / deficit for the period 1 April 2017 to 31 March 2018:

------Screen 16: Reserves ------

Do you have any general free reserves?

Do you have any restricted reserves?

Do you have any designated reserves?

Total monies current at bank:

------Screen 17: Supporting documents ------

Upload your organisation's constitution or set of rules:

Upload your organisation's recent bank statement or paying-in slip:

Upload your organisational budget:

------Screen 18: Other supporting documents ------

Upload evidence of potential expenditure:

Upload your equal opportunities policy:

------Screen 19: Declaration ------

Full name of first contact:

Position in organisation:

Full name of second contact:

Position in organisation:

------ENDS ------